Author: "Shintarou Takao" - Searchworks@Jio Institute Digital Library Search Results

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Author: Masanori Takahashi, Ken Sagayama, Hirohiko Onoyama, Tamon Nakaji, Yasutomo Azumi, Y. Hashimoto, Masaru Saitou, Kouji Nishimura, Shintarou Takao, and Tomoaki Urakawa
Subjects: medicine.medical_specialty, business.industry, Internal medicine, Medicine, Bezoar, Small Intestinal Obstruction, business, medicine.disease, Gastroenterology
Published: 2002
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Author: Hirohiko Onoyama, Yoshinari Tkahashi, Y. Hashimoto, Koji Nishimura, Masaru Saito, Ken Sagayama, Shintarou Takao, Tamon Nakaji, Tomoaki Urakawa, and Yasutomo Azumi
Subjects: medicine.medical_specialty, business.industry, General surgery, Gastroenterology, medicine.disease, Bile duct dilatation, Bile duct cancer, Pancreaticobiliary maljunction, Internal medicine, Rare case, medicine, Surgery, business
Abstract: 膵・胆管合流異常の診断にMRCPが有用であった胆管非拡張型合流異常に合併した胆管癌の1例を経験したので報告する. 症例は70歳の女性. 一過性の右季肋部痛あり, その6か月後黄疸が出現した. 全身状態は暦年齢以上に不良であった. MRCPでは中部胆管に縦径2cmの腫瘍像, 胆管の完全閉塞がみられたが, 腫瘍より下流の胆管に拡張はなく, 共通管が1.5cmの胆管合流型の膵・胆管合流異常を認めた. 高齢で低栄養であるため, 胆管切除術を施行した. 手術診断はEM1, DM0, HM0, Surgical Stage I, Cur Bであったが, 病理組織学的所見は高分化型管状腺癌, hm2, em2, comprehensive stage II, cur Cであり癌の遺残を認めた. 本例は非拡張型合流異常における積極的分流手術の必要性を示唆する1例と考えられた.
Published: 2000
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